Individual
MEGAN MACKENZIE WATANABE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
4500 E 9TH AVE STE 450, DENVER, CO 80220-3933
(303) 394-9355
(303) 388-8564
Mailing address
4900 S MONACO ST STE 210, DENVER, CO 80237-3487
(303) 394-9355
(303) 388-8564
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
0992315
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
73570281
—
CO
Enumeration date
04/13/2016
Last updated
01/27/2022
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